| Dr Kathryn M Fethke, MD | |
|
999 N. Curtis, Suite 205, Boise, ID 83706 | |
| (208) 373-1200 | |
| (208) 373-1216 |
| Full Name | Dr Kathryn M Fethke |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Experience | 29 Years |
| Location | 999 N. Curtis, Boise, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578657094 | NPI | - | NPPES |
| 000010029522 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 37879 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | M7977 (Idaho) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Intermountain Eye And Laser Centers Pllc | 6800709502 | 11 |
| Entity Name | Intermountain Eye And Laser Centers Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730119611 PECOS PAC ID: 6800709502 Enrollment ID: O20031110000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kathryn M Fethke, MD 999 N. Curtis, Suite 205, Boise, ID 83706 Ph: (208) 373-1200 | Dr Kathryn M Fethke, MD 999 N. Curtis, Suite 205, Boise, ID 83706 Ph: (208) 373-1200 |
Dr. Mark J Boerner, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
James R Swartley, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 222 N 2nd St, Suite 215, Boise, ID 83702 Phone: 208-342-2706 | |
Landon Kelly Grange, M.D. Ophthalmology Medicare: May Accept Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-773-3937 Fax: 208-377-3937 | |
Ms. Denise Elizabeth Capps, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 5680 W Gage St, Boise, ID 83706 Phone: 208-377-3937 | |
Wyatt Messenger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 E Mallard Dr Ste 110, Boise, ID 83706 Phone: 206-336-8700 | |
Dr. Chad Harman Jackson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Main St Ste 200, Boise, ID 83702 Phone: 208-344-3220 Fax: 208-344-0461 | |
Matthew D Neale, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8955 W Hackamore Dr, Boise, ID 83709 Phone: 208-344-7944 Fax: 208-639-9360 |